Autumn Kimberly Santos, OTD, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.016288 Issued in IL

Practice address

901 Florsheim Dr
Libertyville, IL 60048-5200

Phone

(847) 816-9990

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1144041377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 W ROUNDSTONE WAY",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600858610",
            "telephone_number": "224-305-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FLORSHEIM DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485200",
            "telephone_number": "847-816-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "AUTUMN",
        "middle_name": "KIMBERLY",
        "credential": "OTD, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.016288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Salman, MD
• Salt of the Earth
• William Luis Sanchez-Garcia, MD
• Rocio Sanchez
• Aileen Garcia Sandoval, P.T.
• Sapna Jacob M.D, S.C.
• Sara R. Vegh,O.D.,M.D.,S.C.
• Riochanel C Sarhene
• Betty Ann Saunders, OTR/L
• Angelo M. Savino, M.D.

• Occupational Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.